All of our dx appear at the bottom of our physician orders (carbon of whichh are MARS)
which we receive from pharmacy on day of admit. Physician signs within 72 hours.
Once physician signs, isn't s/he signing that s/he agrees with meds, dosage,,
administration times, dx. etc. If so, is this enough?>
> From: [EMAIL PROTECTED]
> Date: 2004/01/17 Sat AM 11:50:34 EST
> To: [EMAIL PROTECTED]
> Subject: Re: Diagnosis
>
> Diagnoses can be coded in Section I only with a physician-documented
> diagnosis. See page 3-127 of the RAI User's Manual.
>
> Rena
>
> Rena R. Shephard, MHA, RN, FACDONA, RAC-C
> Chair, American Association of Nurse Assessment Coordinators
> [EMAIL PROTECTED]
>
> > Subj: Diagnosis
> > Date: 1/16/04 11:03:38 AM Pacific Standard Time
> > From: [EMAIL PROTECTED]
> > Reply-to: [EMAIL PROTECTED]
> > To: [EMAIL PROTECTED]
> > Sent from the Internet
> >
> >
> >
> > If you have a patient and the physician does not document
> > in H&P, or anywhere that they have hypothyroidism, and they are on Synthroid,
> > would you code Hypothyroidism on the MDS?
> > Michelle
> >
>
>
>
>
>
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